Cholagogue cha kapamba

Odwala ambiri amafunsa funso kuti: "Kodi ndizotheka kukhala ndi choleretic ndi kapamba?" M'nkhaniyi tikupereka yankho ndikukudziwani bwino za mankhwalawa, zitsamba zamankhwala komanso zosakanikirana za iwo zomwe zimakhala ndi choleretic ndipo nthawi zambiri zimagwiritsidwa ntchito ngati gawo limodzi la zovuta zamankhwala.

Chifukwa chiyani mankhwala a choleretic amalembera kapamba?

Cholagogue ndi kapamba amadziwika kuti akwaniritse izi:

Kuthetsa kukondoweza kwa bile,
Tsitsani katundu pazachinsinsi,
Chotsani kudzikuza,
Kuchepetsa kufinya kwamkati,
Kusintha kwa chimbudzi.

Chakudya cham'mimba chimalumikizidwa kwambiri ndipo kulumikizana kwina kwa ulalo kumatha kubweretsa vuto lina. Zolumikizidwa bwino kwambiri ndimagawo am'mimba, omwe amachititsa kuti chimbudzi chikhale bwino, monga chiwindi, ducts ya bile, kapamba.

Chimodzi mwazinthu zomwe zimayambitsa kuvulala kwambiri kapena kufalikira kwa kutupa kwa kapamba ndi kusungunuka kwa bile, pomwe sipangadutse mwa papilla wa papilla ndikulowa m'matumbo ang'ono. Zotsatira zake, bile Reflux imachitika, ndipo imaponyedwa mu pancreatic duct. Chifukwa cha kuchuluka kwa kupsinjika, timatupa tating'onoting'ono, ndipo bile limatayikira m'tinyimbo, nkumatupa.

Kusasunthika kwa bile kungapangitse kukula kwa matenda otupa a chiwindi ndi ndulu. Kutupa kwanthawi yayitali kumatha kubweretsa kufalikira kwa njirayi limodzi ndi kutuluka kwa zamitsempha kupita kuzinthu zapanchipala.

Kuphatikiza apo, kapamba nthawi zambiri amaphatikizidwa ndi matenda ena am'mimba - cholecystitis, bysary dyskinesia, gastritis, gastroduodenitis, chironda chachikulu cha m'mimba, ndi zina zotere. Kuchepetsa ndikusintha chimbudzi cha chakudya, mankhwala a choleretic - mankhwala osokoneza bongo kapena zitsamba, akuphatikizidwanso mu zovuta.

Kusankha kwa choleretic komanso nthawi yake yokhala ndi pancreatitis nthawi zonse kumakhala payekha komanso kumadalira:

Mphamvu yothandizidwa pochiritsa,
Limagwirira zake mankhwala.
Ntchito za hepatobiliary system,
Zizindikiro ndi contraindication
Mphamvu ya kuchuluka kwa ndulu imathandizira pa ntchito ya m'mimba.

Contraindication poika mankhwala a choleretic

Zotsatira zopewera kumwa mankhwala a choleretic ndizosiyana ndipo zimatsimikiziridwa ndi kusankha kwa mankhwalawa komanso matenda omwe wodwala ali nawo. Zotsutsana zomwe zimachitika pakadali pano:

Pachimake kapamba kapena kuchulukitsa kwa kapamba,
Kulepheretsa kwa Biliary: kupezeka kwa miyala mu ndulu kapena mumiyala, papillostenosis, kutsimikiza kwa duct wamba wa bile, etc.,
Cirrhosis wa chiwindi kapena chiwindi,
Zilonda zam'mimba kapena duodenum.

Mukamamwa mankhwala a choleretic, wodwalayo ayenera kukumbukira kuti angayambitse tulo. Ichi ndichifukwa chake kusankhidwa kwawo ndikosayenera kwa ulcerative colitis kapena matenda a Crohn.

Pa nthawi yoyembekezera, mankhwala okhawo a choleretic ndi omwe angapangidwe omwe samayambitsa kuchuluka kwa chiberekero ndipo osalowa m'magazi ochulukayo kupita kwa mwana wosabadwayo. Kuphatikiza apo, siziyenera kuyambitsa kuwonongeka konsekonse m'moyo wabwino.

Cholagogue ndi kapamba

Mokhazikika, mankhwala onse a choleretic amagawidwa m'magulu awiri:

Choleretics - kuwonjezera mapangidwe a bile,
Cholespasmolytics ndi cholekinetics - zimathandizira kutulutsa kwapita kwa ndulu kuchokera ku ndulu.

Kugawika kwa mankhwala amtundu wa choleretic kumangoyambitsa chisankho, chifukwa ambiri aiwo ali ndi katundu pamwambapa. Mu kapangidwe kawo, zimatha kupanga, kutengera mchere wa sodium wa dehydrocholic acid, asidi acid ndi mbewu za choleretic.

Ndi kapamba, mankhwala a choleretic angagwiritsidwe ntchito:

Mankhwala onse a choleretic ayenera kumwedwa mphindi 30 asanadye. Mlingo wa tsiku ndi tsiku womwe umagawidwa ndi kuchuluka kwa zakudya, chifukwa kukwaniritsa kwambiri, ndalamazi zimayenera kutengedwa chakudya chisanachitike. Mankhwala ayenera kutsukidwa ndi madzi okwanira wamba. Mukamwa mankhwala a choleretic, pakatha mphindi 30 chakudya chitha kuchitika, chifukwa ngati satero thanzi lanu limakulirakulira komanso mseru ndi m'mimba zimatha kuonekera.

Monga lamulo, kukhazikitsidwa kwa mankhwala a choleretic ndikutali - masabata pafupifupi 3-8. Pambuyo pake, njira ya makonzedwe awo mu prophylactic Mlingo uyenera kubwerezedwa kawiri pachaka.

Choleretics ndi katundu wawo

Malo akuluakulu a choleretic mankhwala amakhala ndi choleretic mankhwala. Ma choleretics amakono amakhudza ma cell a chiwindi ndikusintha njira zopangira katulutsidwe. Mankhwalawa, omwe amalimbikitsidwa kuti azidakwa onse omwe ali ndi matenda a hepatic komanso kutupa kwa kapamba, amagawidwa m'magulu awiri - zoona ndi hydrocholeretics. Mtundu woyamba wa mankhwala a choleretic ndi omwe ali ndi ndulu ya nyama. Ndi gawo ili lomwe limathandizira kupanga katulutsidwe ka bile mwa wodwala. Mphamvu yothandizirana ndi ma hydrocholetics, omwe makamaka amaphatikiza ndi mchere wam'madzi, zimatengera mphamvu yamadzi. Zotsatira za choleretics iliyonse ndi motere:

kukondoweza kwa ma cell a hepatic parenchyma (zimakhala zomwe zimapanga chimbale)
kutsegulira kwa osmotic kusefera kwa ma electrolyte ndi madzi mu bile capillaries,
kukhathamiritsa kwa mahomoni ndi Reflex kupangidwa kwa bile,
matenda a matumbo peristalsis.

Katundu wamkulu wa choleretics, chifukwa chomwe tikulimbikitsidwa kuti alembe osati chifukwa cha hepatic pathologies, komanso kapamba, ndikuwonjezera ntchito ya mapangidwe a bile ndi kuthekera, ngati kuli kotheka, m'malo mwa secretion ya bile.

Mitundu ya Choleretics

Cholagogue, yolimbikitsa kupanga kwa bile, imakhala chizolowezi chamachipatala kugawa mitundu yambiri. Kugawidwa kotereku kumachitika molingana ndi komwe gawo lawo limawerengera zomwe zimapangidwira. Magulu akuluakulu a mankhwala opangidwa kuti apititse patsogolo ntchito ya choleretic ndi:

kukonzekera kwachilengedweokhala ndi ma acid achilengedwe achinyama (Cholenzym, Allohol, Hologon, Deholin),
zopangidwalopangidwa ndi organic synthesis (Oxafenamide, Nicodene),
mankhwala azitsamba (Kutolere zitsamba).

Mankhwala aliwonse omwe amachokera m'magulu awa omwe ali ndi tanthauzo la choleretic, amachulukitsa ntchito zachinsinsi za chiwindi ndikuchotsa mawonetsedwe akuchotsa kutupa.

Koma ziyenera kukumbukiridwa kuti ngati kuchulukana kwa zisonyezo za kapamba kwa odwala achichepere, amapatsidwa mankhwala azachilengedwe komanso magulu azomera. Vutoli limawonedwa mosamalitsa ndi akatswiri a gastroenterologists, chifukwa ndi mankhwala okha kuchokera pagululi omwe angakhale otetezeka pazinthu zaana. Izi zikuwoneka ndi ndemanga yoposa imodzi kuchokera kwa makolo a makanda omwe ali ndi mavuto ndi kapamba.

Zopanga Zosiyanasiyana

Kukonzekera kwa Cholagogue komwe kumapangidwa ndi organic synthes kumayesedwa pagulu limodzi. Izi ndichifukwa champhamvu champhamvu chomwe chimapangidwa ndimankhwala awa, popeza zinthu zake zoyambirira zimalowa m'magazi, ndipo zitatha izi zimatsitsidwa ndulu. Ichi ndichifukwa chake amatha kuyambitsa mavuto omwe ali m'magulu omwe ali ndi matenda ofala, komanso mwa ana ndi amayi apakati. Gululi la mankhwalawa lilinso ndi zabwino za choleretic, kotero pafupifupi palibe mankhwala othandizira pancreatitis amatha popanda kugwiritsa ntchito, koma amangoikidwa chifukwa cha zamankhwala. Nthawi zambiri, chithandizo chamankhwala chikaperekedwa, akatswiri amalimbikitsa kuti atenge ndalama zotsatirazi:

Nikodin. Izi ndi zotulutsidwa za formaldehyde ndi nicotinic acid, piritsi lililonse lomwe lili ndi 0,5 g yogwira ntchito. Mankhwalawa samangopanga kupanga bile, komanso amalepheretsa microflora ya pathogenic, yomwe imathandizira njira yotupa mu kapamba.
Tsikvapon. Kuchokera kwa cyclohexanone. Muli piritsi limodzi 0,1 g la mankhwala othandizira. Amasankhidwa kuti ayike kutulutsa kwa bile malinga ndi chiwembu chosankhidwa ndi gastroenterologist payekhapayekha kwa wodwala aliyense.
Oxafenamide. Mankhwala opangidwa mwa kaphatikizidwe ka salicylic acid. Kuphatikizika kwa piritsi limodzi kungaphatikizepo zosaposa 0,25 g za mankhwala othandizira. Mankhwalawa amatha kuchepetsa kukhuthala kwa bile ndikuwonjezera kuchuluka kwake.

Ubwino wa mankhwala opangira ndi kuthekera kwawo kuyimitsa kuvunda kwamatumbo ndikuwotcha - njira zoyipa zomwe zimayendera limodzi ndi matenda a ziwalo zam'mimba.

Koma siziyenera kugwiritsidwa ntchito popanda kufunsidwa ndi katswiri, chifukwa chodzilimbitsa pancreas kapena chiwindi kungayambitse zotsatira zosasintha.

Contraindication

Koma si odwala onse omwe amatha kukokomeza kapamba omwe amatha kumwa mankhwala a choleretic, ngakhale atakhala ndi zizindikiro zazikulu zachipatala. Izi ndichifukwa cha kukhalapo kwa ziletso zambiri mu choleretics. Mankhwala oletsedwa omwe amalimbikitsa kutuluka kwa ndulu mu zochitika zotsatirazi:

wodwalayo amakhudzidwa ndi magawo a mankhwala,
zilonda zam'mimba kapena zam'mimba, jaundice wovuta, Reflux gastritis,
kubwereza kwa matenda a hepatic pathologies,
matenda opatsirana pachimake,
ma gallstones.

Komanso mukamamwa mankhwala a choleretic, ziyenera kukumbukiridwa kuti zimatha kuyambitsa matenda osokoneza bongo (m'mimba), motero, amaikidwa ndi malire mu matenda a Crohn ndi UC (ulcerative colitis). Pa nthawi yapakati, mankhwala okhala ndi izi amatha kugwiritsidwa ntchito pazifukwa zazikulu zamankhwala ndikuyang'aniridwa mwachindunji ndi katswiri.

Cholagogue chindapusa

Kuti tisiye kutupa komwe kumakhudza kapamba, akatswiri ambiri am'magazi poika anzawo amakonda mankhwala omwe amapezeka ndi chomera cha choleretic. Mankhwalawa ndi mankhwala azitsamba omwe angalimbikitse bwino kupanga kwa bile. Koma ngakhale chitetezo chazomera zomwe zimapanga mankhwalawa, siziyenera kumwedwa popanda chilolezo cha dokotala.

Kutoleredwa kwa cholagogue mu pancreatitis pachimake kapena kuyambiranso kwa matenda opatsirana kumatanthauza kutengera matenda omwe amachititsa kuti musawonetse zizindikiro zoyipa, komanso zizindikiro za matenda zomwe zimatchulidwa kwambiri. M'malo ogulitsa mankhwala osokoneza bongo, mankhwala azitsamba zotere amaperekedwa m'mitundu itatu. Kupanga kwawo, momwe thupi limapangidwira, komanso njira yovomerezeka yofotokozedwera patebulopo.

Zowerengeka za zopereka za choleretic phyto

Kutolere	Kupanga	Zochita zina	Chinsinsi chophika
Ayi. Ine	Utoto, ulonda wa masamba atatu, dieelle, coriander (2: 3: 4: 2)	kubwezeretsa, kusangalatsa, antiseptic, odana ndi kutupa.	Supuni ya chopereka imathiridwa ndi 500 ml ya madzi otentha ndikuthiridwa kwa kotala la ola limodzi mu thermos. Msuzi wosefedwa umawonjezeredwa ku voliyumu yoyambirira ndi madzi owiritsa ndikumwa theka la ola musanadye (kanayi pa tsiku). Njira ya chithandizo imatha mwezi.
Ayi. II	Yarrow, mint, coriander, dieelle (2: 2: 2: 4)	painkiller, antispasmodic, antibacterial.	Matumba atatu amtundu wa mankhwala amaikidwa mu kapu ndi madzi otentha ndikuyika kwa mphindi 20 pamalo otentha kuti muumirire. Tayi wokonzeka wokonzekera kuledzera amamwa katatu patsiku theka la ola musanadye.
Ayi. III	Mint, tansy (maluwa), yarrow, chamomile, calendula (3: 1: 3: 3: 3)	odana ndi yotupa, antispasmodic.	Ma supuni awiri a choleretic zosonkhanitsira kutsanulira kapu ya madzi otentha, kukulani bwino ndikusiya kwa mphindi 15. Mtundu womalizira ukatha kutentha firiji, voliyumu yake imasinthidwa kukhala yoyambirira ndikuledzera katatu patsiku gawo limodzi mwa magalasi atatu. Izi ziyenera kuchitika musanadye. Koma chifukwa chakuti munthu aliyense ali ndi machitidwe a thupi, imodzi mwazitsamba zomwe amapanga mankhwala azitsamba singakhale oyenera kwa wina. Kuti mankhwala oletsedwa asavulaze wodwalayo, ndalama zitha kukonzedwa palokha. Kuti muchite izi, muyenera kudziwa zofunikira zamankhwala azitsamba ndikuwasankha pokonzekera choleretic decoction mwakufuna kwanu. Popanga mankhwala awo azitsamba omwe amayenda bwino kupanga bile, akatswiri amalimbikitsa kuyang'ana pa mindandanda yazotsatira za mankhwala omwe ali ndi mphamvu yakuchiritsa yofunikira pancreatitis: maluwa atansy amalimbikitsa kutulutsa kwa bile, ziletsa microflora ya pathogenic ndikuletsa njira yotupa, timbewu timakhala ndi mphamvu yolimbikitsa ndulu ndikuwononga miyala momwemo, wotchi yokhala ndi masamba atatu imasiyanitsa chakudya cham'mimba ndikuchotsa kutupa, wosachizira amachepetsa bile, amachepetsa cholesterol yamagazi ndikuchotsa ululu, calendula amalepheretsa kukula kwa njira yotupa, mankhwala chamomile timapitiriza kutuluka kwa bile ndi amathandizanso spasms, yarrow amalimbikitsa kuchoka kwa ndulu, mbewu za coriander zimayesa kupweteka. Njira zilizonse zokhala ndi choleretic, zololeza kusintha kwa kapangidwe kake, ndizovomerezeka kutenga pokhapokha atakambirana ndi katswiri ndikuyesa mayeso ofunikira a matendawa. Njira iliyonse yodzichiritsira, ngakhale yogwiritsa ntchito mankhwala azitsamba yowoneka ngati yotetezeka, ndiyosavomerezeka, chifukwa m'malo mothandizidwa, ikhoza kubweretsa zovuta zomwe sizingachitike. Mankhwala azitsamba Makamaka kunyumba, mankhwala a choleretic amagwiritsidwa ntchito, omwe amaphatikiza zomera zokha. Amakhala ndi zotsutsana pang'ono ndipo amalekerera mosavuta. Ndi kapamba, azikhala oyenera kunja kwa gawo la kuchulukitsa kuti athandizike kugaya ndi zolakwika muzakudya. Mankhwala a choleretic mankhwala amagwiritsidwa ntchito monga adanenera dokotala atachotsa kupezeka kwa miyala mu ndulu. Kugwiritsidwa ntchito molingana ndi malangizo, osapitilira muyeso. Gululi limaphatikizapo: Barberry, ogwiritsidwa ntchito ngati mawonekedwe a mowa wambiri ngati madontho 20 nthawi imodzi. Amasintha kupanga kwa bile ndipo amathandizira kuphipha. Berberine bisulfate imakhala yofatsa ndipo imatha kugwiritsidwa ntchito ngakhale pakhale miyala yaying'ono pamalonda. Immortelle. Zomwe zimapangidwira zitsamba zouma zimapangitsa kuti matumbo asamayende bwino, amachepetsa kuvutikaku ndikuthandizira kuthetsa mabakiteriya. Flamin ili ndi zofanana ndi udzu wouma wosafa. Yosavuta kugwiritsa ntchito komanso yosavuta kulekerera chifukwa cha chilengedwe. Tansy nthawi zambiri amagwiritsidwa ntchito ngati tincture. Zimasintha kupanga kwa bile ndipo zimapangitsa kuti ikhale yocheperako. Holosas ndi madzi amadzimadzi omwe amagwiritsidwa ntchito kuti achepetse kugaya ndikuchotsa kuphipha kwa ma ducts a bile. Zabwino pa boma la kapamba chifukwa cha mavitamini ambiri. Cholekinetics Komanso, kapamba, mankhwala ena a choleretic angagwiritsidwe ntchito. Amalimbikitsa biliary excretion ndipo amatchedwa cholekinetics. Misonkhano yonse, ndalama zonse zomwe zimaphatikizidwa ndi gulu lino zitha kugawidwa m'magulu awiri: kukulitsa kamvekedwe ka ndulu ndipo nthawi yomweyo ndikuchotsa kuphipha m'makonzedwe, Mankhwala omwe ntchito yake imangofuna kuthetsa kuphipha. Zoyambazo zimaphatikizapo magnesium sulfate, cholerytin ndi xylitol. Gulu lachiwiri limaphatikizapo Duspatalin, Olimetin ndi Metacin. Mankhwalawa amagwiritsidwa ntchito makamaka pakudya yamagaya, komanso pokonzekera matenda. Amasangalatsa nthawi yomweyo ndipo amathandizira kamvekedwe ka ndulu. Nthawi yomweyo, ndikofunikira kudziwa kuti sagwiritsidwa ntchito potupa chiwindi, dystrophic phenomena ndi jaundice. Mankhwala onse a choleretic amakhumudwitsa, choncho ayenera kumwedwa pokhapokha ngati pali zovuta. Kudya moyenerera wa zinthu zotere kumapangitsa kuti ntchito yogawa mafuta ikhale ndi chakudya chambiri. Kuphatikiza apo, kusungunuka m'matumbo, kumapangitsa kuti mavitamini asungunuke, omwe amakhudza bwino zomwe zimachitika mthupi komanso chitetezo chamthupi. Kanemayo akuwunikira chithandizo cha kapamba ndi cholecystitis: Cholagogue zitsamba za kapamba Cholagogue zitsamba zokhala ndi kapamba zimachepetsa. Mulinso ma flavonoids, mafuta ofunikira osiyanasiyana, ma flavoni, menthol, shuga ya mphesa, terpenes, ma resins, tannins, phytosterols, kuwawa, kusakhazikika, saponins, vitamini C, ndi zina zambiri. Njira zina zochiritsira zitsamba za choleretic: Anti-kutupa Kukondweretsa Zopatsa chidwi Zamawonekedwe Matenda a metabolism, Kuwongolera (kuwonjezera kapena kutsitsa) acidity ya m'mimba, Bactericidal ndi kupondaponda michere yolimbitsa thupi, Kubwezeretsanso Immunostimulatory Zambiri Kuchepetsa shuga, Anti-cancer. Kusankhidwa kwa zitsamba za choleretic pancreatitis ndi munthu payekha ndipo zimatengera zonse zomwe zikuwonetsedwa komanso zotsutsana pakugwiritsira ntchito mankhwala. Kuti muchite izi, mutha kugwiritsa ntchito: Mukamagwiritsa ntchito zitsamba za choleretic kapena chindapusa, ndikofunikira kupatula kukhalapo kwa sayanjana nawo. Chifukwa chiyani mankhwala a choleretic amalembedwa chifukwa cha kutupa kwapancreatic? Odwala ambiri amadandaula chifukwa, chifukwa cha kutupa kwa kapamba, kugwiritsa ntchito mankhwala a choleretic ndikofunikira. Chowonadi ndi chakuti m'thupi la munthu ziwalo zonse zimalumikizana. Pali kulumikizana pakati pa zinthu zotere zamatumbo monga chikhodzodzo, ndulu ndi chiwindi. Chifukwa chake, kugwiritsa ntchito mankhwala a choleretic kumathandizira kubwezeretsa ntchito ya chiwalo chomwe chakhudzidwacho ndikuthandizira chimbudzi. Pofufuza momwe khansa yapakhungu imayambira, asayansi anapeza kuti nthawi zambiri matendawa amatsogozedwa ndi kukokoloka kwa bile mu ducts ya bile. Mwakuthupi zimanenedweratu kuti bile liyenera kulowerera mwaulere papilla kulowa duodenum 12 ndikuchita nawo chimbudzi. Koma pazifukwa zosiyanasiyana (kuphipha, kutsekeka kwa ndulu), njirayi ikhoza kusokonekera. Chotseka chomwe chimatulutsidwa ndi chiwindi chimalowa m'miyendo, chimayambitsa zotupa za chiwalochi. Mukamamwa mankhwala a choleretic a kapamba, ndikofunikira kutsatira malangizo azachipatala, komanso kutsatira zakudya zapadera. Nthawi zambiri, kapamba amayamba pambuyo pa: dyskinesia (chotupa) cha ma ducts a bile, chiwindi cholecystitis. Kukhazikitsidwa kwa mankhwala a choleretic a kapamba amadziwika kuti ndikugwiritsa ntchito kwawo nthawi zonse, zimayambitsa kusintha kwamtundu wa chimbudzi: Sinthani chimbudzi, Pewani kusayenda kwa ndulu, Chotsani kudzikuza, chepetsa katundu ndi kulimba kwamkati, gwiritsani ntchito chinsinsi cha ziphuphu. Kusankha kwa mankhwalawa kuyenera kuchitika ndi dokotala yemwe azilingalira zomwe zimachitika mthupi komanso kuchuluka kwa matenda. Cholespasmolytics Cholespasmolytics amagwiritsidwa ntchito pancreatitis pofuna kuchotsa kuphipha kwa minofu, kutsutsana ndi kuwononga hypertonicity ya ndulu. Bwino kutukusira kwa dongosolo la kugaya chakudya limathandizira kuphipha No-spa, Maxigan, Spazmalgon, Papaverine, Drotaverin. Mankhwalawa amatha kugwiritsidwa ntchito pakamwa komanso piritsi. Ngati pancreatitis imayendera limodzi ndi kutupa kwa chiwindi ndi bile, ndiye kuti Atropine, yomwe imayang'aniridwa pang'onopang'ono, imagwiritsidwa ntchito ngati mankhwala a chlespasmolytic. Mankhwala ena Zochizira pancreatitis, osati mankhwala a choleretic okha, komanso mankhwalawa kuti achulukitse chinsinsi cha ntchito ya chiwalocho ndikuchepetsa mphamvu yake. Pachifukwa ichi, kukonzekera kwa enzyme kumagwiritsidwa ntchito (Pancreatin, Pancreasim, Mezim, Creon). Pothandizira kupweteka, ma analgesics ndi antispasmodics amagwiritsidwa ntchito (No-shpa, Analgin, Platifillin). Mwanjira yovuta kwambiri ya kapamba, tikulimbikitsidwa kuyika wodwala, kuyika kuzizira dera la hypochondrium lamanzere, itanani gulu la ambulansi. Palibe chifukwa chomwe muyenera kudzipangira nokha mankhwala omwe angakhale ndi zotsatirapo zoyipa m'moyo wa wodwalayo. Ngati pancreatitis yosatha imayendera limodzi ndi dyskinesia komanso hepatitis yayitali, ndikofunika kugwiritsa ntchito mankhwala othandizira ofanana ndi a homestathic ngati Galstena ndi hepatoprotectors (Karsil, Darsil, Gepabene). Mfundo zofunikira mukamamwa choleretic Mu matenda am'mimba, mankhwala amalumikizidwa ndi chakudya. Chifukwa chake, kulandiridwa kwa choleretic kumvera malamulo ofunika: Mankhwala onse m'gululi amatengedwa musanadye, Mlingo wa tsiku ndi tsiku wa mankhwala amagawika pafupipafupi pakudya, Imwani mankhwalawo ndi madzi okwanira, onetsetsani kuti mudya kwa mphindi 30 mutamwa mankhwalawa. Kutalika kwa mankhwalawa komanso kuchuluka kwa mankhwalawa kuyenera kuvomerezana ndi dokotala. Njira yodziwika bwino yamankhwala imatenga milungu 4 mpaka 8, maphunziro achitetezo amachitika mu kasupe ndi nthawi yophukira, munthawi ya nyengo yowonjezera. Ngati zizindikiro zoopsa zikuwoneka, muyenera kufunsa dokotala kuti mupeze matenda osiyanasiyana. Zizindikiro zofananira zimakhala ndi chiwonetsero cha matenda a Crohn, matenda a gallstone, gastritis, zilonda zam'mimba. Zomwe zimayikidwa poika ana Ndi pancreatitis mwa ana, kukonzekera kwazitsamba kumagwiritsidwa ntchito, komwe kumakhudza pang'ono m'mimba. Kuyambira ndili mwana, mankhwala monga Allohol, Galstena, Holaflux, Holagogum, Flamin amaloledwa kugwiritsa ntchito. Kwa odwala achichepere, mlingo umawerengeredwa potengera kulemera kwa thupi. Chifukwa chake, adotolo ayenera kusankha mankhwalawa ndi mlingo, poganizira mawonekedwe a munthu komanso zaka za wodwalayo. Chithandizo cha pakati Kwa amayi apakati, choleretic yokhala ndi kapamba imayikidwa mosamala kwambiri, chifukwa zina mwazomwe zimakhudza mwana wosabadwayo. Nthawi zambiri, kutupa kwapancreatic kumachitika mochedwa, pamene mwana akukula amakakamira ziwalo zamkati, kupangitsa njira ya katulutsidwe ka bile imakhala yovuta kwambiri. Njira zotetezeka zochizira amayi apakati ndikugwiritsa ntchito madzi amchere amchere, msuzi wa rosehip ndi kukonzekera kwazitsamba. Ndi ntchito yopanda ndalama izi, ndikofunikira kugwiritsa ntchito cholagogue kukonzekera kwa chiyambi cha mbewu, zomwe sizikuthandizira kukulira mwana wosabadwayo. Mankhwalawa akuphatikizapo Holosas, Galsten, Allohol. Musanayambe chithandizo, ndikofunikira kukaonana ndi dokotala wodziwitsa mayi yemwe akuyenda ndi pakati. Njira Zina Zitsamba Kuphatikiza pa mankhwala osokoneza bongo, mankhwala azitsamba amathandizira kukhazikitsa ntchito yogaya chakudya. Zitha kugwiritsidwa ntchito onse mu mawonekedwe a monotherapy, komanso ngati gawo la zovuta mankhwala. Zitsamba zambiri zimagwira bwino ntchito ngati kukonzekera kwa choleretic kosakonzekera. Ambiri azitsamba amalimbikitsa kutenga mbewu ya fulakesi kuti ikhale yachilengedwe. Mankhwalawa amathandizanso kugaya chakudya, koma kokha ngati prophylactic panthawi yachikhululukiro. Ndi kuchulukana kwa kapamba, mbewu za fulakesi ndizoletsedwa kuti zigwiritsidwe ntchito. Chimodzi mwazinthu zabwino kwambiri za mankhwala a choleretic ndi njira yotsatirayi. Pophika, tengani magulu ofanana ndi wotchi ya masamba atatu ndi chowawa chowawa. Masamba a mbewu amazitsanulira ndi madzi otentha, amalimbitsidwa kwa mphindi 30 mpaka 40, osasankhidwa ndikutenga supuni 1 katatu patsiku musanadye. Chithandizo china chazitsamba chomwe mungagule mu mankhwala opangidwa kale kapena chophika nokha ndi ichi: Tingafinye udzu wa peppermint Masamba a buluzi udzu. Zosakaniza zonse zimaphatikizidwa chimodzimodzi ndikukusungidwa mu chidebe chowuma chagalasi. Kukonzekera mankhwala obiriwira, tengani supuni zitatu zosakanizira, wiritsani mu 500 ml ya madzi, kunena mphindi 40, zosefera ndi kumwa chikho cha ½ katatu patsiku musanadye. Kodi mukufuniranji choleretics ya kapamba? Mankhwala a Choleretic ndi gawo limodzi la mankhwala othandizira pancreatitis. Amathetsa bile yosasunthika, amachepetsa kukakamira kwapachinsinsi, amachotsa edema, amachepetsa kukakamiza kwa ziwalo zapafupi, komanso kukonza chimbudzi. Ziwalo zamkati zam'mimba zimagwirizana kwambiri. Kusokonezeka kwa magwiridwe amodzi kumabweretsa chisokonezo cha chinacho. Ntchito za chiwindi, kapamba ndi chindapusa zimagwirizana kwambiri. Kuvulala kwambiri kapena kudwala kwa matenda okhalitsa nthawi zambiri kumachitika chifukwa cha kusayenda kwa ndulu, momwe madzi samatha kudutsa papilla papilla, ndipo motero samalowa m'matumbo. Zotsatira zake, kuponyerako kwa bile kumapezeka, ndipo kumalowa kapamba. Chifukwa cha kuchuluka kwambiri, timakanema tating'onoting'ono timakhala tomwe timatulutsa, bile limathiridwa m'matumba ofewa, ndikupangitsa kuyambitsa kuzizira. Kusasunthika kumabweretsa kukula kwa matenda a chiwindi ndi ndulu ya chikhodzodzo. Ndi nthawi yayitali ya matenda, zikondamoyo zimatha kuyatsidwa. Pancreatitis nthawi zambiri imachitika limodzi ndi zina zomwe zimapangitsa kuti m'mimba pakhale kugaya chakudya - cholecystitis, bysary dyskinesia, gastritis, duodenitis, zilonda zam'mimba komanso zotupa m'mimba. Kuti muchepetse kuchizira kovuta, gwiritsani ntchito chopereka cha choleretic cha kapamba (maziko ndi mankhwala azitsamba) kapena mapiritsi opangira. Kusankha kwa mankhwala a choleretic kumachitika potsatira njira: Kukula koyembekezeredwa kwa zotsatira zakuchiritsa, Malangizo a mankhwala, Ntchito za hepatobiliary system, Zizindikiro, contraindication azachipatala. Aliyense wa mankhwala a choleretic ali ndi zotsutsana zake. Komabe, pali zoletsa zina pomwe mankhwala a pancreatitis sagwiritsidwa ntchito. Uku ndikuwopseza kwambiri kapena nthawi yochulukitsa kutupa, kuchepa kwa biliary, chiwindi cha chiwindi kapena hepatitis, mawonekedwe a zilonda zam'mimba kapena zilonda 12 zam'mimba. Chithandizo cha kapamba ndi mankhwala a choleretic Mankhwala a Choleretic amaperekedwa ndi adokotala okha. Mtunduwo umakhala wokwera kwambiri, mankhwala onse ali ndi mitengo yosiyanasiyana, mfundo zofunikira, ndi zina zapadera. Allochol ndi choleretic wothandizira pancreatitis. Kuphatikizikako kumaphatikizapo bile ndi youma mafuta a mankhwala azomera. Mankhwala amalimbikitsa kupanga yogwira ya bile, kusintha matumbo. Mlingo woyenera ndi mapiritsi 8 patsiku. N`zosatheka pa mimba ndi mkaka wa m`mawere. Cholenzyme imaphatikizira zinthu zachilengedwe pamatupi ake. Momwe zimakhudzira bwino chakudya cham'mimba, imachepetsa kukokana kwa minofu, ndikuwongoletsa chilakolako chofuna kudya. Mlingo waukulu patsiku ndi 6 makapisozi. Natural choleretics chifukwa cha kutupa kwa kapamba: Hologon amadziwika ndi kufatsa kwambiri, koyenera kuchitira pafupifupi odwala onse. Zotsatira zochokera pamalowo zikuwululidwa pakatha mphindi makumi awiri. Decholine ndi choleretic wothandizila kudzera mtsempha wa magazi. Ndizovomerezeka kugwiritsa ntchito pochiza matenda ambiri am'mimba, kuphatikizapo mawonekedwe a kapamba ndi parapancreatitis. Liobil amapezeka mu mawonekedwe apiritsi, imakhala ndi bile yachilengedwe. Mwayi wapadera wa mankhwalawa ndi kuthekera kopirira komwe acidic ili m'mimba, kotero makapisozi amasungunuka kokha m'matumbo. Mankhwala onse omwe angathe kubayidwa amangogwiritsidwa ntchito kuchipatala. Zogwiritsidwa ntchito zapakhomo ndizoletsedwa. Mankhwala a choleretic: Nikodine bwino kuthetsedwa kwa ndulu, amalepheretsa kusayenda, ali ndi antibacterial. Ngati zimaphatikizidwa ndi mapiritsi odana ndi kutupa, kutupa kumayimiranso m'masiku angapo. Tengani mapiritsi anayi patsiku. Nthawi zina, mankhwalawa amawonjezeka mpaka zidutswa 8, Osalmide imathandizira kupanga bile, imachepetsa kukokana kwa minofu pamimba, imachepetsa kukangana, imachepetsa kuchuluka kwa cholesterol "yoyipa", ndikuwonjezera mawonekedwe a bile. Cyqualone ndi mankhwala a choleretic komanso odana ndi kutupa. Cholandiridwa kwa nthawi yayitali m'masabata anayi. Gimekromon imakonda kutumizidwa, yomwe imagwira ntchito posintha kukakamiza, zomwe zimapangitsa kuti pakhale kuchuluka kwa madzi ndi ma elekitirodi mu bile. Zitsamba choleretics Kunyumba, mutha kugwiritsa ntchito mankhwala azitsamba opangidwa ndi mankhwala a choleretic, omwe amagulitsidwa ku pharmacy. Kapenanso muzitha kukonzekera chindapusa cha choleretic potengera mankhwala azitsamba. Kuchiza pancreatitis kuyenera kukhala kokwanira, kotero ndikofunikira kuyang'anira menyu anu mosamalitsa, kutsatira malangizo onse azakudya. Zomera za Cholagogue zimakhala ndiwofatsa. Mwa infusions, gwiritsani ntchito katsabola, mbewa zozungulira, chowawa, muzu wa barberry. Komanso, ma stigmas a chimanga, mizu ya dandelion, masamba a birch, ndi zina zotere. Ma zitsamba zotchulidwa samangopereka choleretic kwenikweni, komanso ali ndi katundu wina. Zomera zimadziwika ndi kubwezeretsa, kutsutsana ndi kutupa, antibacterial, zimapereka hypoglycemic, sedative, restorative and diuretic katundu. Amawongolera acidity m'mimba, sinthani kagayidwe kachakudya mthupi. Mankhwala azitsamba ochokera ku mankhwala: Kholos wokhala ndi kapamba ndi madzi am'madzi omwe amatulutsa chimbudzi ndipo amathandizanso kutulutsa timitsempha tambiri. Ili ndi mavitamini ambiri. Tansy tincture timapitiriza kupanga a bile, amachepetsa mamasukidwe ake. Itha kugwiritsidwa ntchito momasuka pa mankhwalawa kapamba ndi ma enzymes. Mowa tincture wa barberry amathandizanso spasms, kumalimbitsa linanena bungwe la ndulu. Tengani madontho 20 pa 100 ml ya madzi, kumwa nthawi imodzi. Makina a madokotala amati mankhwala onse a choleretic amapatsa mkwiyo, motero, amaletsedwa mwamphamvu kupweteka kapena kufalikira kwa matendawa.Mlingo wokwanira wa mankhwalawa umathandizira kufalikira kwa lipids ndi chakudya chamafuta, umachepetsa nkhawa pazakudya zam'mimba, kuphatikizapo kapamba, zomwe zimapangitsa kuti wodwalayo akhale bwino. Momwe mungathetsere kukokomeza kwa bile muuzeni akatswiri mu kanema munkhaniyi. 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